

<form class="formulario">
        
        <fieldset class="form_fieldset">
              <legend class="form_legend">Informe Asignados         </legend>
              <br/>
          <table width="500" border="1">
  <tr style="color:#FFFFFF;font-size: 0.9em;
  font-weight: bold;
  text-align: left;">
    <td width="69" bgcolor="#990033">Codigo de Alumno</td>
    <td width="89" bgcolor="#990033">Apellidos</td>
    <td width="82" bgcolor="#990033">Nombres</td>
    <td width="62" bgcolor="#990033">Estado de Informe</td>
    <td width="61" bgcolor="#990033">Fecha de Asignación</td>
    <td width="54" bgcolor="#990033">Nro de Revisiones</td>
    <td width="37" bgcolor="#990033">&nbsp;</td>
    </tr>
  <tr>
    <td>2010106041</td>
    <td>Barreto Saldaña</td>
    <td>Daniel Enrique</td>
    <td>Registrado</td>
    <td>05/03/2014</td>
    <td>0</td>
    <td>Evaluar</td>
    </tr>
  <tr>
    <td>2008104061</td>
    <td>Saldaña Torres</td>
    <td>Jorge Antonio</td>
    <td>Corregido</td>
    <td>05/05/2014</td>
    <td>1</td>
    <td>Evaluar</td>
  </tr>
</table>
        
          </fieldset>
          <fieldset class="form_fieldset">
            <legend class="form_legend">Datos del Alumno</legend>
              <table width="331" border="0" cellspacing="5">
              <tr>
                <td width="73">Codigo</td>
                <td width="239"><input name="codigo" type="text" id="codigo" value="2010106041" readonly  ></td>
                </tr>
              <tr>
                <td height="22">Nombre </td>
                <td><input name="nombre" type="text" id="nombre" value="Daniel Enrique" readonly  ></td>
                </tr>
              <tr>
                <td height="22">Apellido </td>
                <td><input name="nombre" type="text" id="nombre" value="Barreto Saldaña" readonly  ></td>
                </tr>
              <tr>
                <td height="22">Escuela</td>
                <td><input name="escuela" type="text" id="escuela" value="Sistemas" readonly  ></td>
                </tr>
            </table>
        </fieldset>
        
        <fieldset class="form_fieldset">
              <legend class="form_legend">Datos de Informe          </legend>
              <br/>
            <table width="336" border="0">
  <tr>
    <td width="75">Codigo</td>
    <td width="251"><input name="codigo" type="text" id="codigo" value="100" readonly  ></td>
    </tr>
  <tr>
    <td>Estado</td>
    <td><input name="codigo2" type="text" id="codigo2" value="Observado" readonly  ></td>
    </tr>
  <tr>
    <td>Informe</td>
    <td><input name="button3" type="button" class="boton_busqueda" value="Descargar Informe"></td>
  </tr>
          </table>
<br/>
          <table width="500" border="1">
  <tr style="color:#FFFFFF;font-size: 0.9em;
  font-weight: bold;
  text-align: left;">
    <td width="41" bgcolor="#990033">RUC</td>
    <td width="46" bgcolor="#990033">Empresa</td>
    <td width="35" bgcolor="#990033">Cargo</td>
    <td width="41" bgcolor="#990033">Area</td>
    <td width="63" bgcolor="#990033">Sueldo</td>
    <td width="76" bgcolor="#990033">Fecha Inicio</td>
    <td width="68" bgcolor="#990033">Fecha Fin</td>
    </tr>
  <tr>
    <td>12345678910</td>
    <td>USMP </td>
    <td>Practicante</td>
    <td>Desarrollo</td>
    <td>S/. 750</td>
    <td>05/05/2013</td>
    <td>05/03/2014</td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    </tr>
</table>
        
          </fieldset>
          <fieldset class="form_fieldset">
              <legend class="form_legend">Evaluación          </legend>
              <br/>
            <table width="336" border="0">
            <tr>
    <td width="75">Nro de revisión</td>
    <td width="251"><input name="codigo3" type="text" disabled id="codigo3" value="2" readonly  ></td>
    </tr>
  <tr>
    <td width="75"><p>Resultado</p></td>
    <td width="251"><select name="select" size="1" id="select">
      <option value="1" selected>Aprobado</option>
      <option value="2">Observado</option>
    </select></td>
    </tr>
  <tr>
    <td>Comentario</td>
    <td><textarea name="textarea" cols="75" rows="10" id="textarea">asffffd asffffdasffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd asffffd  </textarea></td>
    </tr>
          </table>
            <p>&nbsp;</p>
            <p>Revisiones</p>
            <p><br/>
            </p>
            <table width="500" border="1">
              <tr style="color:#FFFFFF;font-size: 0.9em;
  font-weight: bold;
  text-align: left;">
    <td width="41" bgcolor="#990033">Nro de Revisión</td>
    <td width="46" bgcolor="#990033">Fecha de Observación</td>
    <td width="35" bgcolor="#990033">Fecha de Corrección</td>
    <td width="41" bgcolor="#990033">Comentario</td>
    <td width="63" bgcolor="#990033">&nbsp;</td>
    </tr>
  <tr>
    <td>1</td>
    <td>05/04/2014</td>
    <td>10/04/2014</td>
    <td>vajfasjfnkasnf</td>
    <td>Descargar revision</td>
    </tr>
</table>
        
          </fieldset>
          <div style="float:right;">
    <input type="button" class="boton" value="Registrar Evaluación">
    <input type="button" class="boton" value="Salir">
</div>
<div class="clear"></div>
    	</form>
	